Individual
DARICE L BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-2306
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001603A
IN
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10001603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000972176
ANTHEM PTAN
IN
01
—
000001274361
ANTHEM PTAN
IN
01
—
000001395331
ANTHEM PTAN
IN
01
—
000001414859
ANTHEM PTAN
IN
05
—
300010774
—
IN
Enumeration date
09/06/2013
Last updated
02/10/2025
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